Table 1

Principles of the Idealized Design of the Clinical Office Practice1

Paramount focus on the clinician-patient relationship
Individualized access to care and information at all times
Knowledge-based care is the standard
Individuals control their own care to the extent that each individual desires
Minimal waiting for all involved in the processes of care
Seamless transfer and communication of information and coordination of care
Financial performance sufficient to ensure unhindered viability
Patient and practice management will be based on real-time data, including measures of process, satisfaction, finance, outcomes, and epidemiology
Continual improvement and waste reduction in all processes and services
Individual health linked to broader community health
A model work environment